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Peer-reviewed veterinary case report

Cat with diabetes and vomiting treated for ketoacidosis and recovered

By I. Preteseille & M. D. Vegas Cómitre·Published in Veterinary Record Case Reports·2025·View original on Semantic Scholar

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Original publication title: Successful management of euglycaemic diabetic ketoacidosis in a bexagliflozin‐treated cat (Feline)

Species:
cat

Plain-English summary

A 9-year-old spayed female domestic shorthair cat was brought to the vet after suddenly becoming lethargic, vomiting, and refusing to eat. She had previously been diagnosed with diabetes and was on medication called bexagliflozin. The vet found she had a serious condition called euglycaemic diabetic ketoacidosis, which can happen in diabetic cats. Treatment involved giving her fluids with sugar and regular insulin through an IV. After 9 days of care, she improved and was sent home with a new insulin treatment.

People also search for: cat vomiting and lethargy · diabetic cat treatment · euglycaemic diabetic ketoacidosis in cats · insulin for diabetic cats

Abstract

A 9‐year‐old, spayed, female, domestic shorthair cat was presented with an acute onset of lethargy, vomiting and anorexia. The cat had a prior diagnosis of diabetes mellitus and was being managed with bexagliflozin, a sodium‐glucose cotransporter‐2 inhibitor. On presentation, the cat was diagnosed with euglycaemic diabetic ketoacidosis. Treatment included intravenous dextrose supplementation and a constant rate infusion of regular insulin. The cat responded well to therapy and was discharged 9 days after admission on subcutaneous glargine insulin.

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Original publication on Semantic Scholar: https://www.semanticscholar.org/paper/bdae07fda378e5ca09860a53f2b689d96ed5c04e